EURORAD ESR

Case 14838

Sarcoidosis stage 2

Author(s)
Jacek Wakulinski

National Institute of Tuberculosis and Lung Diseases,
Department of radiology;
Plocka 26, 01-138 Warsaw, Poland;
Email:jwakulinski@gmail.com
 
Patient
male, 45 year(s)
 
 
  • Figure 1
    Frontal and lateral chest radiograph
     

    There is a moderate bilateral hilar lymphadenopathy. There are diffused, multiple small nodular opacities predominantly located in the upper lung lobes

     
    Area of Interest: Lung; Mediastinum; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Pathology;

    There is a moderate bilateral hilar lymphadenopathy. There are diffused, multiple small nodular opacities predominantly located in the upper lung lobes

     
    Area of Interest: Lung; Mediastinum; Imaging Technique: Digital radiography; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 2
    Contrast-enhanced chest CT
     

    Mediastinal window axial scan. There is hilar node enlargement. There are disseminated small pulmonary consolidations.

     
    Area of Interest: Lung; Lymph nodes; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Pulmonary window axial scan. There are multiple small, well-defined nodules presenting perilymphatic distribution. They locally coalesce together forming bigger consolidations. Galaxy sign can be seen.

     
    Area of Interest: Lung; Lymph nodes; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;

    Pulmonary window coronal reconstruction. There are multiple small, well-defined nodules primarily seen in upper and middle lung zones. Locally they coalesce together forming bigger consolidations.

     
    Area of Interest: Lung; Lymph nodes; Imaging Technique: CT; Procedure: Diagnostic procedure; Special Focus: Pathology;
     
     
  • Figure 3
    Sarcoidosis staging on the basis of the chest radiograph

    Sarcoidosis staging on the basis of the chest radiograph

     
    Area of Interest: Lung; Lymph nodes; Mediastinum; Imaging Technique: Digital radiography; Procedure: Education; Special Focus: Pathology;
     
     
  • Figure 4
    Frequency of lymphadenopathy in patients with sarcoidosis

    1) Hilar lymph nodes 95% 2) Right superior mediastinal (paratracheal) lymph nodes 75% 3) Left superior mediastinal (aortopulmonary window) lymph nodes 50% 4) Subcarinal lymph nodes 20%

     
    Area of Interest: Lymph nodes; Mediastinum; Imaging Technique: Digital radiography; Procedure: Education; Special Focus: Pathology;
     
     
There is a moderate bilateral hilar lymphadenopathy. There are diffused, multiple small nodular opacities predominantly located in the upper lung lobes
 
There is a moderate bilateral hilar lymphadenopathy. There are diffused, multiple small nodular opacities predominantly located in the upper lung lobes
 
Mediastinal window axial scan. There is hilar node enlargement. There are disseminated small pulmonary consolidations.
 
Pulmonary window axial scan. There are multiple small, well-defined nodules presenting perilymphatic distribution. They locally coalesce together forming bigger consolidations. Galaxy sign can be seen.
 
Pulmonary window coronal reconstruction. There are multiple small, well-defined nodules primarily seen in upper and middle lung zones. Locally they coalesce together forming bigger consolidations.
 
Sarcoidosis staging on the basis of the chest radiograph
 
1) Hilar lymph nodes 95% 2) Right superior mediastinal (paratracheal) lymph nodes 75% 3) Left superior mediastinal (aortopulmonary window) lymph nodes 50% 4) Subcarinal lymph nodes 20%
 
 
 
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